Sense and Sensitivity Philadelphia 2023 -Sign up form

Sense and Sensitivity Philadelphia

Sunday, October 29

9:15 AM – 3:45 PM

Young Israel of Elkins Park

SIGN UP FORM

Each attendee is requested to complete this form individually (even if the mikvah will be sponsoring her attendance) in order to secure her reservation.

Name(Required)

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I currently work as a:(Required)

Mikvah attendant

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Mikvah educator

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Name of Mikvah(Required)

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Please describe your mikvah educator role and list the names of the mikvaos with whom you work (if applicable)(Required)

Previous Mikvah Attendant Positions

Name of Mikvah

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Have you previously had any formal Mikvah attendant or sensitivity training?(Required)

Yes

Please elaborate:(Required)

Organization/ Presenter Name

Date

Our workshop facilitators will be using real-life scenarios as examples. If you have a personal anecdote pertaining to a challenging circumstance encountered within the Mikvah context, please share it below. This may include situations that you effectively managed or areas in which you identify opportunities for enhancement. In order to safeguard confidentiality, we kindly request that any identifying details be omitted.

I am attending this program:(Required)

As part of a group from my mikvah and my mikvah is sponsoring my attendance

As an individual participant and covering my own fee

Cost: $36(Required)

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